Achila, Lakezia Ann
Achila, Lakezia Ann is an sole proprietor health care provider with primary practice located at 7312 Darsena , Grand Prairie TX 75054-6501. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Achila, Lakezia Ann can be contacted via phone (972) 522-8909.Contact Information
Primary practice address
7312 Darsena
Grand Prairie TX 75054-6501
Phone: (972) 522-8909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | Texas |
Profile Details
| NPI number | 1821562729 |
|---|---|
| LBN Legal business name | Achila, Lakezia Ann |
| Credentials | CEO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2019 |
| Last updated | Nov 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821562729 | NPPES |
| Texas | MEDICAID | 1821562729 |
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